One 2 One Support, Suite F12A

One 2 One support, Suite F12A is a supported living and domiciliary service that provides care to people in their own homes in Cheshire West.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

At the time of the inspection, a total of 23 people were using the service, of which 21 people were receiving support with personal care.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way to maximum people’s independence; the policies and systems in the service supported this practice. However, we found a lack of information relating to how best to support people around risk, this meant that people were not always safe from harm, Staff were deployed to support people both in their home and out in the community.

Recruitment checks were made, however we found inconsistency in information held to ensure safe recruitment was completed. We discussed this with the registered manager who acted immediately to provide further information that safe recruitment had been followed.

Care plans were in place, however we found short falls in this as key information regarding people was not always in place. We discussed this with the registered manager who shared that the provider was in the process of transferring information to an online care management system.

People were encouraged to have choice and control of their lives. Staff supported people to be as independent as possible in their homes and out in the community.

Right Care:

People were positive about the care and support they received. People were treated with dignity and respect by staff knowledgeable about the person and their support. People spoke with pride regarding their homes and links with people and their local community. People were supported to be independent both at home and in the community. Staff knew people well and spoke passionately regarding the people they supported and working for the provider.

Right Culture:

We found inconsistencies in auditing and assurance that people were protected from potential abuse.

The registered manager, nominated individual and staff demonstrated a personal-centred culture which focused on meeting people’s individual needs. The registered manager was committed to developing their knowledge and to make continued improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 25 February 2021. The last rating for the service under the previous provider was Good (published 09 January 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement

We have identified a breach in relation to the systems of oversight in place at the service, management of risks and checks that the provider was making to ensure that people were safe.

We have identified a breach in relation to the systems of oversight in place at the service, management of audits, risks and checks that the provider was making to ensure that people were safe.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.